Application of High Speed Digital Imaging (HSDI) technique and voice acoustic analysis in the diagnosis of the clinical form of Presbyphonia in women

2020 ◽  
Vol 74 (4) ◽  
Author(s):  
Bożena Kosztyła-Hojna ◽  
Emilia Duchnowska ◽  
Maciej Zdrojkowski ◽  
Anna Łobaczuk-Sitnik ◽  
Jolanta Biszewska
Keyword(s):  
Digital Imaging ◽  
High Speed ◽  
Elderly Women ◽  
Voice Quality ◽  
Vocal Folds ◽  
Clinical Form ◽  
Voice Analysis ◽  
Acoustic Voice Analysis ◽  
Group I ◽  
Glottal Insufficiency

<b>Introduction:</b> The aging process of voice begins after the age of 60 and has an individually variable course. Voice quality disorders at this age are called senile voice (Presbyphonia or Vox Senium). Voice pathology is particularly severe in women. The aim of the study was to diagnose the clinical form of Presbyphonia in elderly women using High Speed Digital Imaging (HSDI) and acoustic voice analysis. <br><b>Material and methods:</b> Study included 50 elderly women (average age 69) with dysphonia (Group I). Control group (Group II) included 30 women (average age 71) without voice quality disorders. Visualization assessment has been conducted with High Speed Digital Imaging (HSDI) with High Speed camera (HS). Acoustic evaluation of voice included analysis isolated vowel “a” and continuous linguistic text with Diagnoscope Specialista software. Maximum Phonation Time (MPT) has been determined. <br><b>Results:</b> In Group I, 78% of women revealed vocal folds vibrations asymmetry, vibration amplitude increase, Mucousal Wave (MW) limitation and Type D glottal insufficiency (GTs). Acoustic voice analysis proved decrease in F0, increase in Jitter, Shimmer, NHR. In 22% of women, next to vibrations asymmetry, vibration amplitude reduction and MW limitation, Type E glottal insufficiency (GTs) have been found. Acoustic voice analysis revealed slight decrease in F0 and the presence of numerous non-harmonic components in the glottis region. <br><b>Conclusions:</b> Vocal folds visualization with HSDI showed edema, less often atrophy in elderly women. Both forms of dysphonia were caused abnormal values of F0, Jitter, Shimmer, NHR in the acoustic voice evaluation and significant reduction of MPT.

Analysis of voice quality parameters in patients with vestibular voice

2019 ◽  
Vol 73 (3) ◽  
pp. 11-15
Author(s):  
Bożena Kosztyła-Hojna ◽  
Anna Łobaczuk-Sitnik ◽  
Maciej Zdrojkowski ◽  
Emilia Duchnowska ◽  
Diana Moskal-Jasińska ◽  
...  
Keyword(s):  
Digital Imaging ◽  
High Speed ◽  
Voice Quality ◽  
Vocal Folds ◽  
Quality Parameters ◽  
Physiological Process ◽  
Acoustic Evaluation ◽  
Perceptual Assessment ◽  
Visualization Techniques

Abstract Vestibular voice includes participation of larynx structures which are absent in physiological process. Vestibular phonation may be desired when vocal folds are damaged as in paralytic dysphonia, or undesired in marginal hyperfunction. Vestibular voice may result from psychogenic dysphonia – phononeurosis. The aim of the study is perceptive evaluation of vestibular voice, objective larynx visualization, acoustic and aerodynamic examination. The study included 40 patients: 20 with vestibular voice, 20 with euphonic voice. Voice quality has been evaluated using perceptual GRBAS scale. Endoscopic and stroboscopic larynx examination used Endo-STROB-EL-Xion GmbH with visual tract. High-Speed Digital Imaging (HSDI) and High Speed (HS) camera registered true vocal folds vibrations. Acoustic evaluation of voice with DiagnoScope Specjalista, DiagNova Technologies included analysis of F0, Jitter, Shimmer, NHR, nonharmonic components. MPT has been analyzed. In examined group, hoarseness (95%), roughness (75%) and voice strain (55%) have been recorded. Endoscopy revealed edema of vestibular folds with dilation of vessels covering glottis. Stroboscopy and HSDI confirmed coexistence of hyperfunctional (95%) or paralytic (5%) dysphonia. Acoustic assessment revealed increase in Jitter, Shimmer, NHR and decrease in F0 and MPT. The vestibular voice is observed most frequently in women with hyperfunctional dysphonia (phononeuroses) or in paralytic dysphonia. Visualization techniques confirm the coexistence of vestibular folds hypertrophy and edema with vibration disorders. In the perceptual assessment, vestibular voice was hoarse, rough and strained. Acoustic examination showed increase of Jitter, Shimmer, NHR, presence of nonharmonic components and decrease of F0 and MPT.

The recommended presbyphonia recognition model in elderly men

2019 ◽  
Vol 73 (4) ◽  
pp. 1-5
Author(s):  
Bożena Kosztyła-Hojna ◽  
Maciej Zdrojkowski ◽  
Emilia Duchnowska
Keyword(s):  
High Speed ◽  
Voice Disorders ◽  
Vocal Folds ◽  
Control Group ◽  
Upper Respiratory Tract ◽  
Elderly Men ◽  
Voice Analysis ◽  
Self Assessment ◽  
Acoustic Voice Analysis ◽  
Maximum Phonation Time

Introduction. The process of aging begins after 60 years of age and is referred to as presbyphonia (Vox senium). The causes include functional or organic voice disorders, often coexisting with dry upper respiratory tract infection. Materials and methods. The aim of the study is the use of High-Speed camera and acoustic voice analysis in diagnostics of the clinical form of presbyphonia. The study included group of 50 men, non-smokers, age from 51 to 72, who do not use voice professionally. High-Speed Digital Imaging and HS camera have been used, allowing evaluation of real vibrations of vocal folds, along with acoustic voice analysis using software by DiagNova Technologies. Results. VHI questionnaire has been used for self-assessment of voice disability. Visualization of the larynx enabled recognition of hypofunctional dysphonia or atrophy of vocal folds that cause voice disorders. This was confirmed by parameters of voice acoustic evaluation: F0, NHR, narrowband spectrography. Pathological value of NHR and the presence of nonharmonic components in the range of high frequency levels indicated glottal insufficiency, recorded with the visualization technique of the larynx by HS camera. A significant shortening of maximum phonation time in relation to the control group has also been recorded. Discussion. The objective examination of voice pathology is crucial in the diagnosis and rehabilitation, however, the subjective assessment of patient is important in the scope of the procedure used. Subjective self-assessment of patients voice (VHI) confirmed the sense of voice disorders in elderly men, indicating the need for rapid and accurate clinical diagnosis.

scholarly journals Relation between Voice Quality and Pathological Vibratory Patterns Using High-Speed Digital Imaging.

1999 ◽  
Vol 102 (3) ◽  
pp. 354-367 ◽  
Author(s):  
Mamiko Miyaji ◽  
Yoshitake Iwamoto ◽  
Makoto Oda ◽  
Seiji Niimi
Keyword(s):  
Digital Imaging ◽  
High Speed ◽  
Voice Quality

Usefulness of high-speed digital imaging (HSDI) in the diagnosis of oedematous – hypertrophic changes of the larynx in people using voice occupationally

2017 ◽  
Vol 71 (4) ◽  
pp. 19-25 ◽  
Author(s):  
Bożena Kosztyła-Hojna ◽  
Diana Moskal ◽  
Anna Kuryliszyn-Moskal ◽  
Anna Andrzejewska ◽  
Anna Łobaczuk-Sitnik ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Digital Imaging ◽  
Vocal Fold ◽  
High Speed ◽  
Vocal Folds ◽  
Intercellular Spaces ◽  
Vacuolar Degeneration ◽  
Transmission Electron ◽  
Tem Method ◽  
Hypertrophic Changes

Introduction. The aim of the study is the evaluation of the usefulness of High-Speed Digital Imaging (HSDI) in the diagnosis of organic dysphonia in a form of oedematous-hypertrophic changes of vocal fold mucosa, morphologically confirmed by Transmission Electron Microscopy (TEM) method in patients working with voice occupationally. Material and methods. The group consisted of 30 patients working with voice occupationally with oedematous-hypertrophic changes of vocal fold mucosa. Parameters of vocal folds vibrations were evaluated using HSDI technique with a digital HS camera, HRES Endocam Richard Wolf GmbH. The image of vocal folds was recorded with a rate of 4000 frames per second. Postoperative material of the larynx was prepared in a routine way and observed in transmission electron microscope OPTON 900–PC. Results. HSDI technique allows to assess the real vibrations of vocal folds and determine many parameters. The results of TEM in the postoperative material showed destruction of epithelial cells with severe vacuolar degeneration, the enlargement of intercellular spaces and a large number of blood vessels in the stroma, which indicates the presence of oedematous-hypertrophic changes of the larynx. Discussion. The ultrastructural assessment confirm the particular usefulness of HSDI method in the diagnosis of organic dysphonia in a form of oedematous-hypertrophic changes. Key words: High-Speed Digital Imaging, oedematous-hypertrophic changes, vocal fold mucosa, larynx

Application of High Speed Digital Imaging (HSDI) technique in the diagnosis of dysphonia in patients with laryngopharyngeal reflux disease (LPR)

2021 ◽  
Vol 75 (2) ◽  
pp. 1-5
Author(s):  
Bożena Kosztyła-Hojna ◽  
Maciej Zdrojkowski ◽  
Emilia Duchnowska
Keyword(s):  
Digital Imaging ◽  
Reflux Disease ◽  
High Speed ◽  
Laryngopharyngeal Reflux ◽  
Morphological Changes ◽  
Functional Disorders ◽  
Clinical Form ◽  
Laryngeal Mucosa ◽  
Gastric Contents ◽  
Laryngopharyngeal Reflux Disease

Introduction Gastroesophageal reflux disease (GERD) may cause extra-esophageal complications, including laryngopharyngeal reflux disease (LPR). It is caused by morphological changes in the laryngeal mucosa due to the regurgitation of gastric contents. Laryngopharyngeal reflux has a wide symptomatology. There is no pathognomonic image of the larynx for LPR. In the diagnosis of LPR, the subjective RSI scale is commonly used, which assesses symptoms in conjunction with the laryngoscopic assessment of the larynx on the RFS scale. The aim of the study was to diagnose the clinical form of dysphonia in patients with laryngopharyngeal reflux (LPR) using the HS camera and HSDI technique. Material and methods The study included a group of 72 patients of both genders, age 20 to 65, who obtained more than 13 points in the RSI scale and more than 7 points in the RFS scale. Results Application of HSDI technique with camera in the high speed (HS) and high resolution (HR) mode allowed precise objective diagnosis of organic and functional disorders of a hyperfunctional dysphonia.

scholarly journals Parameters Acoustic and High-speed kymography identified effects of voiced vibration and vocal fry exercises

CoDAS ◽  
2013 ◽  
Vol 25 (6) ◽  
pp. 577-583 ◽  
Author(s):  
Regina Aparecida Pimenta ◽  
María Eugenia Dájer ◽  
Adriana Hachiya ◽  
Domingos Hiroshi Tsuji ◽  
Arlindo Neto Montagnoli
Keyword(s):  
Healthy Subjects ◽  
High Speed ◽  
Voice Quality ◽  
Vocal Folds ◽  
Acoustic Parameters ◽  
Significance Level ◽  
Whitney Test ◽  
Before And After ◽  
Student Test ◽  
Female Voices

Purpose: To identify the immediate effects of voiced vibration and vocal fry exercises on healthy subjects by means of acoustic parameters and high-speed kymography. Methods: Thirty healthy subjects (18 women and 12 men, aged from 19 to 45 years old) participated in this study. The voices were recorded at the range of 44.100 samples/second, before and after of the vocal exercises. We developed a computational routine to extract jitter and shimmer. High-speed kymography was generated from laryngeal images for the analysis of the phase times: closed (CPh), open (OPh), of closing (cPh) and of opening (oPh) and used the paired t-Student test and the Mann-Whitney test, with a significance level of 0.05. Results: After voiced vibrations, acoustic parameters showed reduced jitter for both genders (p=0.018 for men and p<0.01 for women) and reduced shimmer for female voices (p<0.01). There was a decrease in CPh (p=0.046) and cPh (p=0.026) and an increase in OPh (p=0.05) in female vocal folds. After vocal fry, we identified decreased jitter (p<0.01) in female voices and cPh (p=0.026) in male vocal folds. Conclusion: We observed more positive immediate effects of the voiced vibrations, mainly in voice quality and vocal folds among females. Nevertheless, studies with larger male sample and investigation of the appropriate time of vocal fry are necessary to confirm the results of this search.

Subjective and objective assessment of voice quality in pregnancy

2018 ◽  
Vol 72 (6) ◽  
pp. 1-5
Author(s):  
Bożena Kosztyła-Hojna ◽  
Anna Łobaczuk-Sitnik ◽  
Jolanta Biszewska ◽  
Diana Moskal-Jasińska
Keyword(s):  
Pregnant Women ◽  
High Speed ◽  
Objective Assessment ◽  
Voice Quality ◽  
Vocal Folds ◽  
Objective Evaluation ◽  
Subjective Assessment ◽  
Third Trimester ◽  
The Third ◽  
Acoustic Evaluation

During pregnancy, voice quality disorders may occur in form of: edema, dryness, nervousness. The aim of the study is subjective and objective evaluation of voice quality in pregnant women. The study included 20 women in the third trimester of pregnancy, age of 20-31 diagnosed at the Department of Clinical Phonoaudiology and Logopedics, Medical University of Bialystok. Subjective assessment has been based on the GRBAS scale. Objective assessment of the vocal organ used the HSDI technique (High Speed Digital Imaging). In the laryngeal visualization, high-speed camera (HS) using rigid endoscope with 90 ° optics has been used. Vibration of vocal folds has been recorded during phonation of vowel "e" at 4000 frames / sec. The glottal closure (GTs), symmetry, regularity and synchronization of vocal folds vibration have been assessed. In estimating the degree of glottal insufficiency, kymography of the larynx has been performed by analyzing the value of Open Quotient (OQ). Objective acoustic evaluation of voice has been also conducted using DiagnoScope Specjalista Program. Hoarseness has been observed in 15 pregnant women, whereas voice fatigability in 20 patients. Using HSDI, the edema of vocal folds in part of the group has been observed. Decreased MPT has been found in all examined women in the third trimester of pregnancy. Hoarseness and fatigability of voice are the most frequent subjective symptoms of voice organ in the third trimester of pregnancy. Decreased MPT is recorded objectively, as well as edema and insufficiency of vocal folds using HSDI technique.

scholarly journals Impact of Subharmonic and Aperiodic Laryngeal Dynamics on the Phonatory Process Analyzed in Ex Vivo Rabbit Models

2019 ◽  
Vol 9 (9) ◽  
pp. 1963 ◽  
Author(s):  
Fabian Thornton ◽  
Michael Döllinger ◽  
Stefan Kniesburges ◽  
David Berry ◽  
Christoph Alexiou ◽  
...  
Keyword(s):  
High Speed ◽  
Ex Vivo ◽  
Human Subjects ◽  
Voice Quality ◽  
Vocal Folds ◽  
Glottal Closure ◽  
Subglottal Pressure ◽  
Vocal Fold Dynamics ◽  
Cepstral Peak Prominence ◽  
Voice Pathologies

Normal voice is characterized by periodic oscillations of the vocal folds. On the other hand, disordered voice dynamics (e.g., subharmonic and aperiodic oscillations) are often associated with voice pathologies and dysphonia. Unfortunately, not all investigations may be conducted on human subjects; hence animal laryngeal studies have been performed for many years to better understand human phonation. The rabbit larynx has been shown to be a potential model of the human larynx. Despite this fact, only a few studies regarding the phonatory parameters of rabbit larynges have been performed. Further, to the best of our knowledge, no ex vivo study has systematically investigated phonatory parameters from high-speed, audio and subglottal pressure data with irregular oscillations. To remedy this, the present study analyzes experiments with sustained phonation in 11 ex vivo rabbit larynges for 51 conditions of disordered vocal fold dynamics. (1) The results of this study support previous findings on non-disordered data, that the stronger the glottal closure insufficiency is during phonation, the worse the phonatory characteristics are; (2) aperiodic oscillations showed worse phonatory results than subharmonic oscillations; (3) in the presence of both types of irregular vibrations, the voice quality (i.e., cepstral peak prominence) of the audio and subglottal signal greatly deteriorated compared to normal/periodic vibrations. In summary, our results suggest that the presence of both types of irregular vibration have a major impact on voice quality and should be considered along with glottal closure measures in medical diagnosis and treatment.

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